Ziehm Vision² Vario 3D

Intraoperative 3D Imaging with Virtual Isocenter

Innovative Key Technology.

The Ziehm Vision² Vario 3D combines excellent 2D-image quality with a highly efficient intraoperative 3D imaging module. Intraoperative 3D imaging plays a vital role especially in spine procedures as well as in orthopedic and maxillofacial surgery. This is often beneficially combined with Computer-Aided Surgery systems. The C-arm's intelligent and compact design together with its unmatched ease of use benefit both surgeons and operation staff.

Superior Image Quality and 3D Reconstruction At Its Best

Clear View

Running in pulse mode at up to 30 frames/s, the Ziehm Vision² Vario 3D produces sharp and crystal clear images. The unique 1k² imaging system with its industry-leading high-dynamic range CCD camera enables a detail-rich visualization of even the finest anatomical structures.

Object Detected Dose Control – ODDC

The innovative ODDC (Object Detected Dose Control) software provides image optimization and motion detection in real time at the lowest possible dose. Pulse rates and frame averaging filters adjust to the amount of motion present in subject anatomy.

ODDC also allows Ziehm Vision² Vario 3D to ensure excellent image quality, even under adverse conditions. ODDC adjusts fluoro techniques to properly visualize anatomy even at the periphery of the field of view. When metal instruments and implants are introduced into the field of view, ODDC will automatically correct for any tendency a lesser imaging chain might have to over-penetrate the surrounding anatomy.

The Ziehm Vision² Vario 3D rounds out its capabilities by adding a highly efficient intraoperative 3D imaging module. The powerful 3D functionalities of the Ziehm Vision² Vario 3D are an invaluable help when it comes to checking the accurate placement of implants, screws and osteosynthetic material. They also provide considerably enhanced precision in orthopedic fracture reductions and joint surface reconstructions in comparison to 2D imaging.

Intraoperative 3D imaging with the Ziehm Vision² Vario 3D provides a previously unknown degree of interventional safety at an impressive quality level and may reduce both the number of revision interventions and radiological follow-up examinations through full postoperative visual control in the OR.

Virtually Isocentric

Smart virtual mechanics

On both Vision² Vario models, a region of interest (ROI) determined at the beginning of an examination will remain within the field of view during the entire isocentric image acquisition cycle. This streamlines daily workflow while reducing dose exposure to patients and staff.

Compact design

Thanks to their sophisticated mechanical construction, our Vision² Vario units have the compact footprint of conventional C-arms, in spite of their added isocentric functionality. Thus you can continue to benefit from the superior mobility that is characteristic of Ziehm's C-arms, even if your OR space is scarce.

Variable isocenter

The isocenter can be adjusted to different patient positions, and not vice versa. There is no need to spend time positioning the patient to the center of the c-arm.

Freely selectable image intensifier/object distance

This feature allows the operator to position patient anatomy closer to the image intensifier, ensuring a larger field of view and lower dose to the patient during image acquisition.

Isocentric cine loop

An isocentrically acquired dynamic image series can be replayed as a cine loop. This 'iso loop' conveys a 3D-like image impression to the physician, providing an easy and reliable way to assist in the assessment of an intervention.

3D Imaging – Additional Views & Data from a Mobile C-arm

A comprehensive range of viewing options, such as isocentric dynamic cine loops from a series of 2D fluoroscopy images, 3D volume renderings as well as 3D slice views and Multiplanar Reconstructions (MPR) combine forces to make the Ziehm Vision² Vario 3D the 'third eye' for the surgeon. An intuitive user interface provides optimum orientation within the acquired 3D volume and quick adjustment and viewing of the desired slices in the coronal, axial and sagittal planes. These 3D views assist the surgeon in detecting incorrect fracture reductions before the completion of a surgical intervention. This minimizes the necessity of subsequent corrective interventions, thus enhancing the patient's quality of life and relieving the hospital budget.

Reducing Dose

Caring for the Patient and the OR Team

The Ziehm Vision² Vario 3D uses the most innovative technologies to keep X-ray dose levels to a minimum without compromising image quality.

Application-oriented anatomical programs, a monoblock generator featuring pulse technology, ODDC, beam-hardening filters and a host of other carefully targeted features assist in achieving substantial dose savings.

A freely selectable image intensifier/object distance ensures flexibility during 3D image capture. This allows patient anatomy to be positioned closer to the image intensifier, allowing imaging with a larger field of view and a lower dose to the patient.

Exceptional Ease of Use

Convenient Operation

The 'Vision Vario Center', employs a touchscreen control panel featuring an intuitive interface with logical user menus and clear icons. It makes the unit easy to operate while providing ergonomic access to all relevant functions needed for isocentric image capturing and 3D image reconstruction.

The Ziehm 'SmartEye' – a live reference image provided on the Vision Center – ensures accurate and clear communication between the C-arm operator and the surgeon. Users can conveniently control an entire procedure directly from the C-arm control panel using simple step-by-step menus.

With a simple keystroke, the user can switch from routine 2D fluoroscopy to isocentric 3D imaging anytime during a procedure. An Advanced Active Cooling system is capable of discharging 400 watts of heat in clinical operation making overheating during long and demanding procedures very unlikely.

Seamless Integration - Full DICOM Functionality

An outstanding feature of the Ziehm Vision² Vario 3D is the fully integrated Ziehm NetPort interface, which provides comprehensive support for the DICOM 3.0 standard and includes options for wireless data transfer. Running in 'Primary Capture' mode, Ziehm NetPort is capable of transferring original images as well as patient data to and from the PACS and / or HIS/RIS, thus ensuring lossless digital network integration Extensive Archiving Possibilities

The Ziehm Vision² Vario 3D is equipped with a broad set of integrated archiving devices for convenient image storage, including:
  • • hard disk
  • • USB-port
  • • DVD-writer
  • • Images can be saved in DICOM or TIF formats, downsized DICOM or JPG formats.
  • Compatibility with the Latest Navigation Systems

    Combining the Ziehm Vision² Vario 3D with a Computer-Assisted Surgery system creates a perfect environment for navigated surgical procedures, allowing surgeons to operate with maximum accuracy and efficiency. With the new navigation interface ‚Ziehm NaviPort' it will be possible to effortless connect any 3D navigation system to the c-arm.

    Click here for more information on Ziehm Vision² Vario 3D


  • Ziehm Solo
  • Ziehm Vision²
  • Ziehm Vision² FD
  • Ziehm Vision R
  • Ziehm Vision RFD
  • Ziehm Vision² Vario 3D
  • Ziehm Vision² FD Vario 3D


  • Biodex
  • IDI
  • Oakworks
  • Stille
  • Medstone


  • IDI Aspect MDS


  • Biodex
  • Oakworks


  • Codonics: SLS Safe Label System


  • EOS Imaging